5 weeks later and we're… doing as well as can be expected. She's at the point where she hates being held while I type. So it's really hard to do updates. So I'll take this moment of quiet to finish off the birth story.
All told, the birth went off quite well. No real complaints from me – only minor ones. I really liked the fact that our midwife, after it was all said and done, told us how much she appreciated and was just plain honoured being there at this very special moment. I found that to be be rather sweet and made up for any of the minor grievances I had. And I really appreciated it, since she got to find out the child's name before anyone, including her grandparents. The staff were certainly good at what they did, and I've no complaints about their skills. The only real issue I had was them not understanding/believing when we told them it's likely to be a quick birth. Given how rare that is, I'm not too surprised.
The birth plan
I'll end this chapter with a record of what we'd planned and what actually happened. Just an aside, this is my first time re-reading the plan after the birth.
Turns out, anything that actually followed the birth plan was more coincidence than actual design. I don't the midwives think ever actually read the plan, but I don't really blame them too much, since I'd much rather they did the really essential bits of ensuring the baby came out properly than memorising our wishes – which they could (and sometimes did) ask us about at any point.
First off, we'd planned for a mutual friend and experienced mother to join us at the birthing centre to make sure everything went smoothly and to keep us company during a prolonged birth.
The tag-team concept came from experience with tattooing. It seems to help distract the tattooee to just have conversation they can drift in and out of, rather than involve them directly. A friend and I did this with L's last tattoo, and I did that a couple of weeks before the birth with another friend. I figured, long continuous pain is long continuous pain – how different can a tattoo be from labour?
Well, the baby was born the one weekend our tag-teaming friend couldn't make it – she was camping out of mobile reception. So all plans involving extra support were out the window.
But, then again, the birth can hardly be considered prolonged, so the help was thankfully not needed.
Outcome: inconsequential fail.
Please knock on door before entering
— I have't the faintest idea of they did or not. I don't recall ever being surprised at someone walking in.
Outcome: incidental win.
In case of unexpected problems calm and full information with time to make choices
— the only thing unexpected was L started crowning while the midwife was out of the room. It was more us not providing them time to think.
Outcome: win by circumstance.
Pain relief of TENS, breathing, massage, birth pool, gas and air
— All except the birth pool, which means we hit that on the head. That said, there was no time at all to get any stronger pain relief if even if we wanted it.
Outcome: accidental win.
Call hospital in advance, request birthing pool
— No answer when we tried calling before coming in. They finally understood we wanted the birthing pool maybe 5 min before the birth started.
Outcome: full on fail.
Notify immediate family on way in
— oops. We did tell the in-laws after the water broke at least. Perhaps I should have read the birth plan while in the waiting room.
Outcome: fail.
Lighting as low as possible
— I don't think the room even had a dimmer.
Outcome: hardware fail.
Music system set up
— no iPod doc as expected. Turns out there was an unused one in room 2, where we'd spent 5 minutes after we came in.
Outcome: facilities fail
stay as mobile as possible
— she ended up giving birth lying down.
Outcome: failure of possibilities.
Offer father to feel head as crowning
— Oops. I forgot we'd planned that. Well, I've cuddled her head enough since then, so I don't see any loss only behalf. L got to feel the crowing head though. I was too busy finding and hitting the Call button.
Outcome: fail.
Foetal monitoring without lying down
— nope. The last monitoring of the baby was why L was lying down for the birth – she was unable to get up after that.
Outcome: fail.
Keep vaginal exams to a minimum
— Just the one (the can't find your cervix
one), so that at least was followed.
Outcome: win.
cord not cut till done pulsing
— I'm pretty sure it was pulsing a little, but I've no real basis for comparison,
Outcome: probably fail.
Father to catch baby
— forgot about that one too. Oops. I was too busy staring in astonishment. I can't believe I thought I'd be on the ball enough to manage this. I'm glad I didn't – the midwife was very good about the catch-and-put-on-chest motion.
Outcome: fail.
skin to skin immediately after birth
— got that one spot on
Outcome: important win.
no wiping or cleaning off of vernix
— nope. We'd read shortly before the birth that a study showed that leaving the vernix on means the baby is less likely to suffer dry/peeling skin shortly after birth.
turns out the only parts where the vernix wasn't removed, the hands and feet, are the only ones that ever really peeled. No idea if it's a coincidence or not.
Outcome: fail?
no interruption of contact
— yup. they were very good about leaving her with us non stop till we left. She was out of our hands for a few seconds while being weighed. Then for a bit while she slept overnight (a few inches from my hand). And once more when the doctor was checking her out.
Outcome: win.
…intervention…
— nothing to intervene.
Outcome: win.
placenta to come out naturally, no pulling
— "plop" it fell right out. No special convincing needed.
Outcome: win.
Oral only vitamin K
— they did try to use scare tactics to get us to take the injections. But it's such a tiny chance of needing it, and generally only if there is a traumatic birth or bruising. So we at least stuck to our guns on this one. I'm still dubious it's needed at all. Regardless, we finished the last oral round a few days ago, and she's still alive.
Outcome: win.
No observing students
— I suppose they were all in the labour ward, which was completely full that day.
Outcome: win.
…induction…
— she came out nicely on her own. No inducements necessary.
Outcome: win.
avoid formula
— she managed to latch on during the first night, so no need to provide other food.
Outcome: win.
All in all, it seems there are more wins than fails. Though most are more wins due to the complete lack of complications to sort out. As I was told, a birth plan just gives the midwives something to ignore. The most important thing is we gave things some though in advance, and that nothing in the birth process came as a shock to us. Well, except (ironically) the startle reflex...
Sunday, 31 July. Most of that morning was spent doing incidentals like holding the girl and taking pictures and sending SMSs and announcements online. And drifting and and out of sleep. My plan of taking chilled coffee and storing in the fridge proved to be a brilliant idea – ice coffee kept me on the ball nicely and let L recover a bit while I watched the girl.
We got though a couple of nappy changes (chocolate-coloured meconium is surprisingly innocuous looking, though rather hard to wipe off), and puzzling at the right level of clothes that would keep her warm, but not too warm. We settled on a onesie and swaddling blanket. Eventually they told us all that was left was the paediatrician and then we could go. So we packed our stuff, readied the girl and waited. Like four hours. Which we spent taking photos, sending more SMSs, and arranging with my in-laws for take-away dinner at the flat.
Apparently the paediatrician saw everyone on the very full labour ward before seeing the two people in the birthing centre. At just before 6 the midwife took us to see the paediatrician. She asked is there anything which concerns you?
– something I wasn't quite ready for, or I'd have made notes. She did a bunch of tests. She even checked to make sure the left eye (which I was curious if it was alright) was responding to light ok. Then she did the startle test, which involved her dropping the lass a tiny bit (over the cot) and catching her to make sure she reflexively stuck out her arms – which she did perfectly. The paediatrician told us she was the first infant that day to not cry at this – which made us quite proud of our wonderful child already outdoing her peers.
That and the startle reflex is really neat to look at. I still really have to stop myself from trying it. I'm sure that would be a great way to make the kid hate me.
After the paediatrician, the midwife handed us a shedload of pamphlets and paperwork, including the red book, which is the born-baby equivalent to the pregnancy notes they kept (we made a photocopy of them in advance since we knew they'd not let us leave with them).
L wrapped up the girl in a sling for the trip home. The midwife, in a bit of security theatre, then walked us out of the building, telling us security'd stop anyone with a newborn who wasn't accompanied by a midwife (which I doubt, but I appreciate the chat and company on the way out).
The walk from the exit to the taxi rank on Tottenham Court Road was the longest it had ever been. Such precious cargo, and every step a sort-of first for us, and certainly a first for her. L waited outside the Sainbury's while I looked for an available taxi to hail. A few minutes later we were on the way home. The driver dropped us off and congratulated us on the newborn, which made us both smile.
We arrived back at home at 6:45ish. Fifteen minutes later, we had barely just enough time to settle in before the in-laws showed up with chinese take-away. And thus began the wonderful madness of living with our baby girl.